Berkenbosch, John W

Berkenbosch, John W is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Berkenbosch, John W can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 629-5865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 38590 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38590 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 38590 Kentucky

Profile Details

NPI number 1275517179
LBN Legal business name Berkenbosch, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275517179 NPPES
Kentucky MEDICAID 64090947
Kentucky MEDICAID 200493520

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